Individual
MATTHEW TIGCHELAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11600 W 2ND PL, LAKEWOOD, CO 80228-1527
(303) 202-1280
Mailing address
PO BOX 5788, DENVER, CO 80217-5788
(303) 202-1280
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01052892
IN
207P00000X
Emergency Medicine Physician
Primary
49465
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021831
KAISER COMMERCIAL NUMBER
CO
05
—
200282940
—
IN
05
—
91528364
—
CO
Enumeration date
10/05/2006
Last updated
08/19/2014
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